Yamaguchi Mio, Sasaki Tomoaki, Uemura Kodai, Tajima Yuichiro, Kato Sho, Takagi Kiyoshi, Yamazaki Yuto, Saito-Koyama Ryoko, Inoue Chihiro, Kawaguchi Kurara, Soma Tomoya, Miyata Toshio, Suzuki Takashi
Department of Pathology and Histotechnology, Graduate School of Medicine, Tohoku University, Sendai, Miyagi 980-8575, Japan.
NEC Solution Innovators, Ltd., Koto-ku, Toyko 136-8627, Japan.
J Pathol Inform. 2022 Sep 26;13:100147. doi: 10.1016/j.jpi.2022.100147. eCollection 2022.
A diagnosis with histological classification by pathologists is very important for appropriate treatments to improve the prognosis of patients with breast cancer. However, the number of pathologists is limited, and assisting the pathological diagnosis by artificial intelligence becomes very important. Here, we presented an automatic breast lesions detection model using microscopic histopathological images based on a Single Shot Multibox Detector (SSD) for the first time and evaluated its significance in assisting the diagnosis.
We built the data set and trained the SSD model with 1361 microscopic images and evaluated using 315 images. Pathologists and medical students diagnosed the images with or without the assistance of the model to investigate the significance of our model in assisting the diagnosis.
The model achieved 88.3% and 90.5% diagnostic accuracies in 3-class (benign, non-invasive carcinoma, or invasive carcinoma) or 2-class (benign or malignant) classification tasks, respectively, and the mean intersection over union was 0.59. Medical students achieved a remarkably higher diagnostic accuracy score (average 84.7%) with the assistance of the model compared to those without assistance (average 67.4%). Some people diagnosed images in a short time using the assistance of the model (shorten by average 6.4 min) while others required a longer time (extended by 7.2 min).
We presented the automatic breast lesions detection method at high speed using histopathological micrographs. The present system may conveniently support the histological diagnosis by pathologists in laboratories.
病理学家进行的组织学分类诊断对于乳腺癌患者的恰当治疗以改善预后非常重要。然而,病理学家数量有限,因此利用人工智能辅助病理诊断变得极为重要。在此,我们首次提出了一种基于单阶段多框检测器(SSD)的利用微观组织病理学图像的乳腺病变自动检测模型,并评估了其在辅助诊断中的意义。
我们构建了数据集,使用1361张微观图像训练SSD模型,并使用315张图像进行评估。病理学家和医学生在有或没有该模型辅助的情况下对图像进行诊断,以研究我们的模型在辅助诊断中的意义。
该模型在3类(良性、非浸润性癌或浸润性癌)或2类(良性或恶性)分类任务中的诊断准确率分别达到88.3%和90.5%,平均交并比为0.59。与没有模型辅助时相比(平均67.4%),医学生在模型辅助下的诊断准确率得分显著更高(平均84.7%)。一些人在模型辅助下能在短时间内诊断图像(平均缩短6.4分钟),而另一些人则需要更长时间(延长7.2分钟)。
我们提出了一种利用组织病理学显微照片进行高速乳腺病变自动检测的方法。本系统可方便地支持实验室中病理学家的组织学诊断。